DP, it is possible, but not for everyone. And statistically keeping the weight off is nearly impossible. Go ask those same friends how hard it is for them to keep the weight off with diet and exercise. Especially if over 20lbs. |
No one is "against" them for those who need them. But shouldn't our goal be to reduce the number of people who become obese and need them? What some seem to suggest is there is NO WAY to take personal accountability and stop the eating pattern before you eventually become obese. So just throw up your hands and go straight to the meds. |
When my blood pressure crept high, I was immediately prescribed blood pressure medicine. I personally chose not to take it and instead tried diet and exercise modifications first but I certainly wouldn’t say that it’s considered a last resort in any sense of the word. |
The amount of people who are normal weight but simply can’t grapple and have such a problem with those of us taking these drugs is astounding. |
That’s been the goal for a number of years and yet the problem is only getting worse, fast. We’ve been telling people to take personal accountability eat healthy and exercise more for DECADES. Diet and exercise is a billion dollar industry. It’s simply not working. |
[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]All these folks can keep being on their moral high whatever, and I'm gonna keep taking my shot. I'll
worrry about gains when the that tome comes. But for now, the food noise is gone, and I'm maintaining the weight loss. But it's still killing me that no one makes these same arguments about pharmaceuticals for other ailments. What is the deal? Why are some of you so concerned about how fat people lose or not lose weight? I feel glorious when I see number on the scale drop lower and lower and I don't have to $hitz but live my life like normal people. No constant food cravings, no bad foods, I can eat whatever I want within moderation. No food is bad. I love it. So all these naysayers, keep talking, while us folks taking these meds reap the benefits and hopefully great health.[/quote] It’s pretty funny. They thought they could shame us out of being fat, and now they think they can shame us out of taking the medicine that makes us lose weight. [b] The truth is that they don’t like that we can become thin and be like them without misery. They were okay with weight loss surgery (although they still called it the easy way out). It leaves scars and requires forever sacrifice of a proper functioning stomach. It changes your eating permanently. Those terms were acceptable for them, an adequate punishment for our former obesity. Ozempic and similar are too painless and we don’t deserve to lose weight painlessly.[/b] [/quote] NP. The bolded is so insightful, and a very accurate summation of what’s going on with some of the angry posters lashing out at Ozempic users in this thread. Really thoughtfully observed. It is also interesting because I suspect a good number of those posters probably take antidepressants or some sort of pharmacological intervention for mood and mental health (or dear God, they really clearly need it). I’m not obese, but I could not be more delighted that there is a medical treatment for obesity that is reasonably well-understood and seems to have years of data behind it. It’s about time. [/quote] Oh come on, now. I am a PP who posted that I am not obese/overweight but I am glad these drugs exist and I am truly happy that people who need to lose weight for their health are able to do it with these new treatments when other efforts have not worked for them. However, I still think we need to encourage people to eat healthy and move more - it's basic common sense! Maybe some believe there is a fine line between fat shaming and nutrition advice, but we cannot give up trying. The message cannot become, "don't bother trying lifestyle changes, all the forces are against you, drugs are the only thing that work." That would be incredibly damaging! The drugs seem to be a miracle for those who really need them but they should be a last resort and should not be used to compensate for a bad diet, or to treat vanity pounds like celebs are doing.[/quote] Why should they be a last resort? [/quote] Last resort...that's crazy! Surgery should be last resort. The mental gymnastics some of you are having are these meds is astonishing. They are helping lose weight and get healthy! Why are so against them? Page after page, no still has explained why the same conversations are not had about anxiety medications, acne medications cholesterol medications, blood pressure medications, ADHD medications,....[/quote] No one is "against" them for those who need them. But shouldn't our goal be to reduce the number of people who become obese and need them? What some seem to suggest is there is NO WAY to take personal accountability and stop the eating pattern before you eventually become obese. So just throw up your hands and go straight to the meds.[/quote] Okay show me the study that supports a “personal responsibility” approach. It seems like what you’re saying is NOT that there’s some public health campaign or curriculum that will work (which is true, no data supports it). It seems like you’re saying is that you’re mad we are telling you shouting “PeRSonAL rESPonSIbILitY” isn’t a public service on your part. |
At whatever age they become obese because at that point it is statistically unlikely to impossible they will EVER be a normal weight their entire life without them. I was also about 200 pounds in 8th grade. Despite my parent’s best efforts to have me eat healthy and exercise, I remained obese through high school. From the ages of 20-30 I lost and gained 50 pounds five times, a hundred pounds once. Two decades of misery, shame, hunger, skin damage, and health problems from being obese could have been avoided if these drugs were available when I was in middle school. |
Of course the goal should be to help people not get obese in the first place. And I would love to see things like: better nutrition standards for school lunches (no that's socialism!), better food labeling and nutritional standards (more socialism!), more physical activity at school (no, we need all STEM all the time!), fewer food deserts (socialism again!), more walking and biking infrastructure (but my commute! where will I PARRRRRK?). For the parenthetical reasons above, none of the things that would actually help people not get obese in the first place will be implemented. People will keep "trying" the same thing ("personal responsibility" and its close cousin, fat-shaming) and the obesity epidemic will get worse. So, just let people have the drugs that will help them eat less. |
Ir isn’t an extreme view, just a very scientifically outdated one. |
You want to start kids on drugs in middle school that they will have to take for the rest of their lives?!! And you don't think that should be the last resort? |
The side effects for these meds sound brutal. Anyone care to share their experience here? |
Yes, since there are currently no other evidence-based viable options for them besides weight loss surgery. |
Obviously it depends on the severity, other medical factors, and the individual doctor's approach. I had high-ish cholesterol and was told by my doctor to change my diet to raise HDL and lower LDL. I did it. One year later, my numbers were drastically better (and I have kept the healthier diet). |
Love that journey for you. If permanent weight loss were achievable through diet and exercise then I would be all for making that the first line treatment. But unfortunately it’s not. |
Can you provide some hard evidence that telling people to eat healthy and move more as a public policy approach to obesity has moved the needle at all? I want studies showing that people who are told that kept weight off permanently. There are reams and reams of studies showing that diets do not work long-term, that education initiatives have largely failed to stop obesity, and that almost nothing other than surgery and now drugs work to keep weight off long-term. But you seem to be indicating that those studies are all wrong and that just telling people to eat healthy and move more is successful at both preventing weight gain and keeping it off for people who lose weight. So where is your hard evidence? What is the scientific underpinning of your wishful, magical thinking? |